MALLORY HAMILTON MD
NPI 1073907929
General Practice in Nellis Afb, NV

Active since March 27, 2015PECOS EnrolledAccepts Medicare Assignment
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2766 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mallory Hamilton Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY HAMILTON MD (NPI 1073907929) is an individual general practice provider in Nellis Afb, Nevada, licensed in Indiana (01077750A) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1073907929
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMALLORY HAMILTONCredential: MD
Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600
Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-2766
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 27, 2015
Last NPPES UpdateFebruary 21, 2017
✔ NPI 1073907929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IN · 01077750A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mallory Hamilton Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375998487
PECOS Enrollment IDI20231010001872
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mallory Hamilton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
5080 SPECTRUM DR, SUITE 1200 WEST
Addison, TX 75001
  • Reassigned Medicare billing, Missouri enrollment
  • 33 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Integrative Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Physical Therapist (Orthopedic)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Psychiatry & Neurology (Neurology)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Emergency Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Pharmacist
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Psychologist (Clinical)
4700 LAS VEGAS BLVD N, ATTN: CREDENTIALS OFFICE
NELLIS AFB, NV 89191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Hamilton's NPI number?

The NPI number for Mallory Hamilton is 1073907929. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is Mallory Hamilton located?

Mallory Hamilton practices at 4700 Las Vegas Blvd N, Nellis Afb, NV 89191. The listed phone number is (702) 653-2766.

What is Mallory Hamilton's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mallory Hamilton enrolled in Medicare?

Yes. Mallory Hamilton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mallory Hamilton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Hamilton reassigns Medicare benefits to American Current Care Of Kansas PA (Addison, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Hamilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Hamilton accept?

Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Mallory Hamilton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Hamilton was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.